Individual provider · Type 1 NPI

Kaitlin Fanara

Specialist · East Northport, NY

NPI number 1376082339 Active

Practice location

216 Clay Pitts Rd
East Northport, NY 11731-3423

Call (631) 987-8257 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X974284151 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376082339

Kaitlin Fanara's National Provider Identifier is 1376082339, issued on Feb 22, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Northport, NY. The record was last updated on Feb 22, 2017.